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HomeMy WebLinkAbout36836-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 4/23/2012 CERTIFICATE OF OCCUPANCY No: 35583 Date: 4/23/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 1185 Bungalow Ln, Mattituck, Sec/Block/Lot: 123.-3-16 Filed Map No. Lot No. filed in this officed dated 36836 dated 11/28/2011 conforms substantially to the Application for Building Permit heretofore 11/28/2011 pursuant to which Building Permit No. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: alter existing porch with glass windows as applied for The certificate is issued to Zito, Ronald & Zito, Patricia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36836 /6 ho / d 4/19/12 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765~ 1802 Fax (631 ) 765-9502 ro.qer, richert~town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Zito Address: 1185 Bungalow Lane City: Mattituck St: NY Zip: 11952 Building Permit #: 36836 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Express Electric LicenseNo: 3653-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~.~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors Sub Panel NC Blower Range Recpt Fluorescent FixtureM Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures ~ TVSS Other Equipment: closed in porch, 1 paddle fan Notes: Inspector Signature: Date: April 19 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36836 Date: 11/2812011 Permission is hereby granted to: Zito, Ronald & Zito, Patricia 906 Midland Rd Oradell, NJ 07649 To: alter existing porch with glass windows as applied for At premises located at: 1185 Bungalow Ln SCTM # 473889 Sec/Block/Lot # 123.-3-16 Pursuant to application dated To expire on 5/29/2013. Fees: 11/28/2011 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ALTERATION TO DWELLING Total: $200.00 $50.00 $250.00 Building Inspector Fo~m No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcy ~ application must be filled in by typewriter or ink and submitted to the Building Department with. the follo~ving: A. For new building or new use: 1. Final sur~ey of pml~rty with accurate'location of all buildings, property ltnea, str~ts, and unusual naturat or topographic feamr6s. 2. Final Approval from Health Df, pt. of water supply and sewerage-disposal (8-9 form). 3, Approval ofelcctrk, al installation from Board 6fFire Underwriters. ' 4. ·aw.om statement from ptumhor certifying that the solder ased in system oantai~s l~ss than 2/10 of 1% lead. 5. Comn~Aat building, i~dustrial building, mtiltiple residonc~ and similar buildings and installations, a e~rtificate of Code CompliaaoeTrom amhitect or engineer responsible for the building, .6. Submit p!anning Board Approval of complexeA sit~ plan requirements. B. For existing buildings (prior to April 9, 19571 don-conforming us~, or buildings and "pre-existing" laud uses." 1. Aczmmte survey of property showing all property lines, stmots, building and unusaal naturai or topographic features_ 2. A properly ~0mpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certifica{e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.0~, Swimmiag po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00: ~. Certificate of Occupancy on Pm-existing Building - $100.00 3. Co~y of Certificate of Occupancy - $.25 · 4. Updated Certificate of Occupancy - $50.00 · 5. Temporary Certificate of Occupancy - Residential $15.00:, Commerci~tl $15.00 New Construction: Old or Pre-existing Building: ' (check one) . House N~ . ~/ . Street .. ' . ,~ffolk .Co.unty Tax Map No 1000, Secti0n }c~ '~ '&"' ' ' Subdivision Date of Pea mil l~gmit No. Filed Map. Appli~tae. Undetwriter~ Approval: Hamlet Planning Board Approval: Request for:. Temporary Certificate F~e Subn'titted: $ .~. '~' Final Certificate: _. (check one) Applicaat Sig at~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~].~LECTRICAL (FINAL) REMARKS: DATE ~ INSPECTOR~~~--- TOWN OF SOUTHOLD BUILDING DEP-T-.~.-~'~ 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] ELECTRICA~J~(ROUGH) . [ ] ELECTRICAL (FINAL) REMARKS? ~ (/~//~ ~/~- ~c?~-~ DATE ~INSPECTOR .._ -/~-7,7,~/~_~--c~ TOWN OF DEPT. 765-1802 I ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ~] F~DATION 2ND [ ] INSULATION [ ~-'FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~'~ ~ /~-~'~J / DATE INSPECTOR INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ~] ELECTRICAL (ROUGH) [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRIOAL (FINAL) REMARKS: DATE INSPECTOR TOWN OF~LDIN~ INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] I/~I6~LATION [),I' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH~/// ./[ ] ELECTRICAL (FINAL) REMARKS: ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDUNG 'DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net PERMIT NO. Examined [I~, 20 II Disapproved Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.SD.EC. Trustees Flood Permit Storm-Water Assessment Form Contact: Phone: Expiration ~~ a ~) ~--~\!/J IX Building Inspector ~, ~%x~. 5~~PLiCATiON FOR BUiLD~G pE~.  Date , a. This application ~ST ~ completely ~1~ ~ ~ ~ter or in ~ ~d sub~R~ to the Building Ins~ctor with 4 sets ofpl~s, a~ate plot pl~ to sc~e. Fee acmr~g to ~hedule. b. Plot pl~ ~o~ng l~afion of lot ~d of buil~ngs on ~s, relafionshp m adjo~ing ~ses or public s~eets or ~e~, ~d wate~ays. c. ~e work cover~ by ~s a~licmion may not ~ comenc~ before issu~ce of Build~g Pe~t. d. Upon ap~ov~ offs application, ~e B~l~g Inspector will issue a Bulling Pe~it to ~e ~plic~t. Such a pe~t sh~l be kept on ~e premiss av~lable for inspe~on ~ou~om ~e work. e. No b~l~g sh~l be occupied or used ~ whole or ~ p~ for ~y p~ what so ev~ ~tfl ~e B~l~ng Inspector issues a C~ficme of Ocmp~cy. ~ Eve~ buil~ng pe~t sh~l expke if~e work au~odzed h~ not ~menced ~n 12 monks aRer ~e &te of issu~ce or h~ not ~en completed wi~ 18 monks bom such &te. If no zoning reenacts or o~ regulations ~t~g prope~ have been enact~ m ~e ~tem, ~e Buil~g Inspect may au~odze, ~ ~flng, ~e extension of~e ~mt for ad,riCh six monks. ~e~er, a new pe~fl sh~l be require. ~PLICA~ON IS HE,BY ~DE to ~e B~l~g D~m~t for ~e iss~ce cfa Buil~g Pe~t p~su~t to ~e Buil~g Zone ~ce of~e To~ of Southol~ Suffo~ Co--W, New Yor~ ~d o~er ~plicable Laws, ~n~ces or Regulations, for the cons~cfion ofb~l~ngs, ~fio~, or ~t~afions or for rmov~ or d~olifion as here~ des~d. ~e applic~t W~s to comply with ~1 applicable laws, or~n~s, buil~g code, hous~g c~e, ~d regulmi~s, ~d m a~t authohzed ins~tom on presses ~d in buil~ng for n~es~ ~specfions. (Si~amre of a~t or nme, if a co~omtion) ' ' ~0 ~ ' ' ' ~' ' ' m~ling addre~s of applic~t) State whe~er applic~t is omer, lessee, agent, ~chitect, engineer, gene~m,%le~6~, plumber or builder DATE~ B P. ~ 5h FEE:'/~q, BY~ Name cromer of premises NOIIFY BUILDING DEPARTMENT 7~'-16~2 6 '~ -O 4 FM -~- THL (As on the m ~g~O ~CIION~ If applimnt is a co,ration, signature of duly authorized officer 1. FOUNDATION - IWO REQUIRED FOR POURED CONCRETE ~ame and title ofco~orate officer) 2 ~OUGH. FRAUlNG. PLUBB',NG. STRAPPING. ELECTRICAL & OAULK~ q 3. tNSU~TION 4. FINAL- CONSTRUCTION g ELEOT~ C MUST BE COBPLE*E cOR t 0 ~ ALL CONSTRUCTION SHALL ~,~SET IH[ REOUIREMENTSOF HEgODESOF YORK STATE NOT RESPONSIBLE ,~StGNOR OONSIRUCIION ERROR5 / 1. Location of l~d on which proposed work will be do~: ~ ~'~ m~ tlg - House Nmber S~eet Hamlet County Tax Map No. 1000 Section //~1,,~ Block ~ Subdivision Filed Map No. Lot /~ Lot 2. State existing use and occupancy of premises and intended use and occupancy ofpropose~l construction: a. Existinguseandoccupancy S~E~-~',,tE ~ F'O~c-,H { ~X, JD b. Intended use and occupancy Wt3//~oWt~ /:~RCff (,3 S~-~.~ox//-~,~o_fit)/ ~L 3. Nature of work (check which applicable): New Building. Addition Alteration -v/x~J ~'<~ ~, Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories RosJ' Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate uny zoning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this propeay within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES __ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)be is the applicant (Name of individual sisming contract) above named, CONNIE D. BUNCH Notary Public, ~tate of New York (S)Ho is the No. 01BUO18r~O~0 Oualme~ ;n ~unom [~oun~ (Contractor, Agent, Corporate Officer, etc.) Commle~lon Expime Alxl114, ~[J~ o~, of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicatioe; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sw~m to before me this~ / · ~ c hch a yof Notary Public Signatur'e of p~l~ent To~n Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 ro.qer, richertd,~ (w~!)sTou~o(~.n¥.us BUILDING DEPARTMENT TOWN OF 8OUTHO~B APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: I--5 *Address: Jl~5 *Cross Street:' / ' ' ~ *Phone No.: Permit No.: -~V~:r Tax Map District: 1000 Section: ) ~ .~ *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) Block: .'~ Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information(If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: ~NO R~g~ In~ Final YES ~ rv 3Phase 100 150 200 300 350 40( Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION Overhe~ 82-Request for Inspection Form 260., 6' S 75'04'00"W PART OF LOT 12 MAP OF MARRAI'OOKA PARK BAY LOTS AND BUGALOW SITES MATFITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY', N.Y. SURVEYED FOR: RONALD ZITO PATRICIA Z/TO /05 SURVEYED BY STANLEY J. ISAKSEN, JR P.O 130~ 294 NEW SU~'FOLK NY 11955 //K/YS L,C 'No. t492~1~ OSR1690 SERIES 8700 Sliding windows feature two panels that slide horizontally to give you improved ventilation Available in three different configurations to enhance the style of your home. 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